diff --git a/server.js b/server.js
index 793eb0d..0c0b23a 100644
--- a/server.js
+++ b/server.js
@@ -850,15 +850,15 @@ function renderOrderForm(step, stepKey = "demografi", fppTests = [], mouId = "")
     diagnosa: `
       <div class="stack">
         <div class="panel" style="padding:0; box-shadow:none; background:transparent; border:0">
-          ${panelHeader("Mandatory", "Clinical indication is expected before save.")}
+          ${panelHeader("Mandatory", "")}
           <div class="grid grid-2">
-            <label class="field" style="grid-column:1/-1"><span>Diagnosis</span><input name="patient_diagnosa" placeholder="Demam" required /></label>
+            <label class="field" style="grid-column:1/-1"><span>Diagnosis</span><input name="patient_diagnosa" required /></label>
           </div>
         </div>
         <div class="panel" style="padding:0; box-shadow:none; background:transparent; border:0">
           ${panelHeader("Optional", "Notes are useful for the lab or front office.")}
           <div class="grid grid-2">
-            <label class="field" style="grid-column:1/-1"><span>Patient note</span><textarea name="patient_note" placeholder="sudah seminggu"></textarea></label>
+            <label class="field" style="grid-column:1/-1"><span>Patient note</span><textarea name="patient_note"></textarea></label>
           </div>
         </div>
       </div>
@@ -866,7 +866,7 @@ function renderOrderForm(step, stepKey = "demografi", fppTests = [], mouId = "")
     pemeriksaan: `
       <div class="stack">
         <div class="panel" style="padding:0; box-shadow:none; background:transparent; border:0">
-          ${panelHeader("Mandatory", "Select examinations from the FPP catalog. Only doctortest=true rows are interactive.", '<button class="btn btn-primary" type="submit">Submit order</button>')}
+          ${panelHeader("Mandatory", "", '<button class="btn btn-primary" type="submit">Submit order</button>')}
           <div class="note-box fpp-selection-summary">
             <strong>Selected tests</strong>
             <p id="order-selected-count">0 selected</p>